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作 者:高燕 胡思珍 冉庆 Gao Yan;Hu Sizhen;Ran Qing(Hospital Quality Evaluation and Medical Record Management Department,The Third People's Hospital of Chengdu,Chengdu 610031,Sichuan Province,China;不详)
机构地区:[1]成都市第三人民医院医院质量评价与病案管理部,四川省成都市610031 [2]西南财经大学,四川省成都市610031
出 处:《中国病案》2025年第2期59-62,共4页Chinese Medical Record
基 金:成都市卫健委专项(2023141);四川省医院协会医务管理分会专项(SCYW002)。
摘 要:目的 分析某医院新发恶性肿瘤患者出院信息,为制定肿瘤防治措施和医疗资源的合理分配、医院学科建设提供参考依据。方法 从医院住院病案首页录入系统中获取2014年1月1日-2023年12月31日主要诊断编码为C00-C97且住院次数为“1”的新发恶性肿瘤患者共19666例。在文献研究与数据分析法的基础上,使用Excel 2016和SPSS 24.0对数据进行整理分析。计数资料采用构成比进行描述,计数资料组间用卡方检验。结果 从病种方面看,排名前10位的病种依次是肺恶性肿瘤、结直肠恶性肿瘤、甲状腺恶性肿瘤、乳腺恶性肿瘤、胃恶性肿瘤、肝恶性肿瘤、食管恶性肿瘤、白血病,前列腺恶性肿瘤和胰腺恶性肿瘤,构成比75.34%,其中肺恶性肿瘤近10年稳居第一,胰腺恶性肿瘤稳居第十,甲状腺恶性肿瘤排位上升明显,其他病种顺位随着时间推移稍有变化。从性别看,排名前10位的恶性肿瘤类别有差异,其中有6种恶性肿瘤类别是一致的,其余4种恶性肿瘤类别呈现出性别差异。从年龄看,57.56%的患者主要集中在60岁及以上年龄,不同年龄组主要恶性肿瘤的疾病谱不同。结论 10年间新发恶性肿瘤患者人数呈上升趋势,年龄是恶性肿瘤发病的高危因素。肺恶性肿瘤、消化系统恶性肿瘤、甲状腺恶性肿瘤、白血病、女性生殖系统恶性肿瘤以及男性前列腺恶性肿瘤仍然需要重点防控。Objectives This study aimed to analyze the information of discharged patients with newly diagnosed malignant tumors in a hospital,and provide reference for the formulation of tumor prevention and control measures,the reasonable allocation of medical resources and the construction of hospital disciplines.Methods A total of 19666 patients with newly diagnosed malignant tumors whose main diagnosis code was C00-C97 and the number of hospitalizations was"1"were obtained from the inpatient medical records entry system on the home page of the hospital from January 1st,2014 to December 31st,2023.On the basis of literature research and data analysis,Excel 2016 and SPSS 24.0 were used to organize and analyze the data.Counting data were described by composition ratio and chi-square test was used between counting data groups.Results In terms of disease types,the top 10 diseases were lung malignant tumor,colorectal malignant tumor,thyroid malignant tumor,breast malignant tumor,stomach malignant tumor,liver malignant tumor,esophageal malignant tumor,leukemia,prostate malignant tumor and pancreatic malignant tumor,with a composition ratio of 75.34%,among which lung malignant tumor ranked first in the past 10 years.Pancreatic malignant tumor ranked the tenth,thyroid malignant tumor increased significantly,and other diseases changed slightly over time.In terms of sex,there were differences in the top 10 malignant tumor categories,of which 6 malignant tumor categories were consistent,and the remaining 4 malignant tumor categories showed gender differences.From the perspective of age,57.56%of the patients were mainly concentrated in the age of 60 and above,and the disease spectrum of major malignant tumors was different in different age groups.Conclusions In the past 10 years,the number of patients with new malignant tumors had increased,and age was a high-risk factor for malignant tumors.Lung malignancies,digestive system malignancies,thyroid malignancies,leukemia,female reproductive system malignancies and male prostate malignanc
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